The triceps-dividing approach to open reduction of complex distal humeral fractures in adolescents: a Cybex evaluation of triceps function and motion.
Triceps function and elbow motion were evaluated in nine elbows after open reduction of complex distal humeral fractures through a triceps dividing approach. At 3-year 6-month follow-up, the patients had an average flexion/extension of 136 degrees to -6 degrees. Triceps peak torque decreased slightly, measured by Cybex testing with a 6% deficit at 60 degrees/s, 3% deficit at 120 degrees/s, and 3% deficit at 180 degrees/s. We recommend triceps division rather than olecranon osteotomy in children who require open reduction of complex distal humeral fractures.
Kasser
J R
JR
Children's Hospital, Boston, MA 02115.
Richards
K
K
Millis
M
M
D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D002648:Child; D004550:Elbow / Q000502:physiology*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D009132:Muscles / Q000502:physiology* / Q000601:surgery; D011859:Radiography